Individual
KENNEDY ROSE LOBATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1045 E 3900 S, MILLCREEK, UT 84124-1100
(801) 260-3030
Mailing address
923 W 2225 S, WOODS CROSS, UT 84087-2130
(801) 414-5625
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111121490-4405
UT
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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